Individual provider Active NPI

Tara M. Williams, APRN, CNP

  • Women's Health Nurse Practitioner
  • Dayton, OH
National Provider Identifier
1922954155
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
0040389 Issued in OH
Practice address
1 Wyoming St Ste 3100B
Dayton, OH 45409-2722
Phone
(937) 208-4110
Fax
(937) 208-2139
NPI assigned
Mar 9, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 0040389 OH Primary

Addresses

Primary practice location

1 Wyoming St Ste 3100B
Dayton, OH 45409-2722

Mailing address

305 Pearhill Dr
West Carrollton, OH 45449-1548
Phone (937) 301-9354

Other practice location 1

7707 Paragon Rd Ste 106
Centerville, OH 45459-4070
Phone (937) 208-4110

Other practice location 2

2350 Miami Valley Dr Ste 420
Centerville, OH 45459-4778
Phone (937) 208-4110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260408002806 OH Practitioner - Nurse Practitioner 8022583939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3170 Kettering Blvd
Moraine, OH 45439-1924

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0040389OHMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Heart Associates, Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1773014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1922954155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 PEARHILL DR",
            "city": "WEST CARROLLTON",
            "state": "OH",
            "postal_code": "454491548",
            "telephone_number": "937-301-9354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WYOMING ST STE 3100B",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092722",
            "telephone_number": "937-208-4110",
            "fax_number": "937-208-2139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7707 Paragon Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "OH",
            "postal_code": "454594070",
            "country_code": "US",
            "telephone_number": "937-208-4110",
            "fax_number": "937-208-6260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2350 Miami Valley Dr Ste 420",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "OH",
            "postal_code": "454594778",
            "country_code": "US",
            "telephone_number": "937-208-4110",
            "fax_number": "937-208-6260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TARA",
        "middle_name": "M.",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-09",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OH",
            "license": "0040389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.